Depression, anxiety and stress are common psychological disorders (PDs). This study aimed to asse... more Depression, anxiety and stress are common psychological disorders (PDs). This study aimed to assess the odds of co-occurrence of mentioned PDs in total sample and different levels of socio-demographic characteristics, specifically among a large sample of general adults. In a cross-sectional, community-based study conducted among 4763 Iranian adults, depression and anxiety were assessed with Hospital Anxiety and Depression Scale (HADS) and stress with General Health Questionnaire (GHQ). The loglinear analysis was applied to investigate their comorbidities. Based on selected models with pair-comorbidity of anxiety with stress, depression with stress, and anxiety with depression, the results showed the odds of comorbidity between anxiety and depression (odds ratio (OR) =12.29, 95%CI: 9.58-15.80), depression and stress (OR = 7.80, 95%CI: 6.55-10.18), and stress and anxiety (OR = 4.62, 95%CI: 3.71-5.75). Also, ORs of pair-comorbidities were the same, except between stress and anxiety for...
BackgroundDespite the large evidence on the association between obesity and psychological disorde... more BackgroundDespite the large evidence on the association between obesity and psychological disorders, studies investigating new anthropometric indices in relation to mental health are limited. We aimed to explore the association between A Body Shape Index (ABSI) and Body Roundness Index (BRI) and common psychological disorders (anxiety, depression, and psychological distress) among Iranian adults.MethodsIn this cross-sectional investigation, anthropometric measures of 3213 Iranian adults were gathered using a validated self-reported questionnaire. ABSI and BRI values of participants were calculated through pre-defined formulas. General Health Questionnaire (GHQ) and Hospital Anxiety and Depression Scale (HADS) validated for Iranians were used to assess psychological distress, anxiety, and depression.ResultsMean age of participants was 36.6 ± 7.73, and 62.8% of them were women. ABSI and BRI were higher in subjects with anxiety and psychological distress. Also, depressed participants h...
Background: Previous observational studies suggested a relationship between dietary fiber consump... more Background: Previous observational studies suggested a relationship between dietary fiber consumption and mental health, but the findings were conflicting. We evaluated the link between dietary fiber intake and prevalence of depression, anxiety, and psychological distress among a large population of Iranian adults.Methods: A cross-sectional study among 3,362 Iranian adults working in 50 health centers was done. Data of dietary intakes were collected through a validated semiquantitative dish-based 106-item food frequency questionnaire (FFQ). Anxiety, depression, and psychological distress were defined based on the Iranian validated version of Hospital Anxiety and Depression Scale (HADS) and General Health Questionnaire (GHQ).Results: After adjustment for potential confounders, participants in the top quartile of total dietary fiber intake had a 33% and 29% lower risk of anxiety and high psychological distress [odds ratio (OR): 0.67; 95% CI: 0.48, 0.95 and OR: 0.71; 95% CI: 0.53, 0.94...
Background: Functional dyspepsia (FD) is defined as the presence of dyspeptic symptoms in the abs... more Background: Functional dyspepsia (FD) is defined as the presence of dyspeptic symptoms in the absence of an organic cause that readily explains them. Life stressors, individuals’ perceptions, their coping responses, and social supports are linked and can affect the well-being of individuals. The aim of the current study was to assess the relationship between FD and life stressors, coping strategies, and social support. Methods: In a cross-sectional study conducted in Isfahan Province, Iran, in 2013, the employees of Isfahan University of Medical Sciences, Isfahan, were evaluated. Symptoms of FD were measured using the modified ROME III questionnaire. The Stressful Life Event (SLE) Questionnaire, modified COPE scale, and Multidimensional Scale of Perceived Social Support (MSPSS) were used for assessing life stressors, coping strategies, and social support. Logistic regression analysis was applied to assess the crude and adjusted effects of each variable on FD. Results: About 55.8% of...
Background: The overlap of functional gastrointestinal disorders (FGIDs) has been reported in lit... more Background: The overlap of functional gastrointestinal disorders (FGIDs) has been reported in literature. Hence, this study aimed to examine psychological comorbidity with the number of FGIDs.Methods: A total of 4763 individuals in 20 cities across Isfahan Province, Iran, were selected through cluster random sampling. The Rome III questionnaire in its complete form was used to investigate gastrointestinal symptoms. The other data collection tools consisted of the Stressful Life Events (SLE) Questionnaire, and Hospital Anxiety and Depression Scale (HADS). To analyze the data, t-test, chi-square test, and logistic regression analyses were used.Results: The results of logistic regression analysis showed that the number of functional gastrointestinal disorders was the risk factor for stress level, anxiety, and depression and increased the odds ratio (OR) of these disturbances.Conclusion: Increase in the number of functional gastrointestinal disorders was associated with more psychologic...
Background: Treating inflammatory bowel disease (IBD) with antidepressants might be of utility to... more Background: Treating inflammatory bowel disease (IBD) with antidepressants might be of utility to improve patient’s condition. The aim of this study was to assess the efficacy of Duloxetine on depression, anxiety, severity of symptoms, and quality of life (QOL) in IBD patients. Materials and Methods: In a randomized, double-blind, controlled clinical trial on 2013-2014, in Alzahra Hospital (Isfahan, Iran), 44 IBD patients were chosen to receive either duloxetine (60 mg/day) or placebo. They were treated in a 12 weeks program, and all of the participants also received mesalazine, 2-4 g daily. We assessed anxiety and depression with Hospital Anxiety and Depression Scale, the severity of symptoms with Lichtiger Colitis Activity Index and QOL with World Health Organization Quality of Life Instruments, before and just after the treatment. The data were analyzed using Paired sample t -test and ANCOVA. Results: In 35 subjects who completed the study, the mean (standard error [SE]) scores ...
BACKGROUND Growth of cardiovascular disease (CVD), variation in provision of medical services, ri... more BACKGROUND Growth of cardiovascular disease (CVD), variation in provision of medical services, rising costs, and increasing information availability through the media are making patients more actively involved in decision-making process of their treatment. The aim of this study was to better understand the components of patient competence in the context of coronary artery disease (CAD) and to further evaluate their relations with medical, demographic, and psychosocial characteristics. METHODS In this cross-sectional study, 148 patients with at least one year diagnosis of acute coronary syndrome (ACS) were enrolled in the study from April to June 2014. Data on demographic characteristics, depression, anxiety, quality of life (QOL), social support, and drug adherence were collected from participants. Pearson correlation, one way analysis of variance (ANOVA), and multiple linear regression tests were performed for analyzing data. RESULTS The mean age of patients was 53.63 ± 5.15. Of th...
Background: The description of demographic features and associated risk factors provides a perspe... more Background: The description of demographic features and associated risk factors provides a perspective for the development of health and prevention policies for psychological screening or referrals. Thus, updated data on epidemiologic profile of depression and anxiety in the society are necessary. This study aims to describe the psychological profile of a general population in central Iran. Methods: This community-based, cross-sectional survey was performed as part of the SEPAHAN project (Study on the Epidemiology of Psychological‐Alimentary Health and Nutrition). The participants were working in 50 different centers across Isfahan Province, Iran. The data on 4628 adults who had completed demographic questionnaires and psychological questionnaires for depression and anxiety, coping styles, and stressful life events were included in the analysis. The data collection tools were the Demographic information questionnaire, Hospital Anxiety and Depression Scale (HADS), Coping Strategies ...
Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder associa... more Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder associated with adverse mental status, impaired health-related quality of life (QOL), and high medical expenses. So, the impact of psychological factors on treatment-seeking behaviors in patients with IBS is not clearly defined. The aim of our study was to investigate the potential relationship between psychological factors and treatment-seeking behavior in patients with IBS. Methods: This cross-sectional study was a part of the SEPAHAN research project and was conducted on 4763 non-academic staff of 50 different academic centers in Isfahan Province, Iran. From among the study population, 1024 individuals with irritable bowel syndrome (IBS) were evaluated. This process was repeated 15 days and a week before the distribution of the questionnaires. The demographic questionnaire, Rome III questionnaire, Hospital Anxiety and Depression Scale (HADS), General Health Questionnaire-12 (GHQ-12), and tre...
Journal of Mazandaran University of Medical Sciences, 2016
Background and purpose: In recent decades psychosomatic disorders have emerged that complexity of... more Background and purpose: In recent decades psychosomatic disorders have emerged that complexity of their diagnosis impose large economic burdens on patients. The aim of this study was to identify and classify the profiles of psychosomatic disorders and their relationship with psychological problems (mental distress, anxiety, and depression) in an Iranian adult population. Materials and methods: A cross-sectional study was performed in 4763 individuals participating in a research project called SEPAHAN. Psychosomatic symptoms and psychological problems were studied using the Patient Health Questionnaire (PHQ-15) and 47 questions psychosomatic, Lacourt Questionnaire General Health Questionnaire (GHQ-12) and hospital anxiety and depression Scale (HADS). Results: Four categories of psychosomatic disorders including mental, gastrointestinal, respiratory, and general symptoms were extracted from psychosomatic symptoms that explained 42.02% of the total variance. Similar to that of the stud...
Background: Personality can be defined as the dynamic arrangement of psycho-physical systems. Thi... more Background: Personality can be defined as the dynamic arrangement of psycho-physical systems. This study was conducted with aim to assess the prevalence of personality traits and their relation with psychological factors in the general population. Methods: The present research was designed as a cross-sectional study. We extracted our data from the framework of the Study on the Epidemiology of Psychological, Alimentary Health, and Nutrition (SEPAHAN), in 2013. Participants (4763 adults) were selected from among healthy people in 20 counties across Isfahan Province, Iran, through convenience sampling. Personality traits and psychological factors including depression, anxiety, and psychological distress were assessed using the NEO Five ‐Factor Inventory (NEO-FFI), Hospital Anxiety and Depression Scale (HADS), and General Health Questionnaire (GHQ). Binary logistic regression analysis was used to ;nd the association among the personality traits an d psychological variables. Odds ratios ...
Depression, anxiety and stress are common psychological disorders (PDs). This study aimed to asse... more Depression, anxiety and stress are common psychological disorders (PDs). This study aimed to assess the odds of co-occurrence of mentioned PDs in total sample and different levels of socio-demographic characteristics, specifically among a large sample of general adults. In a cross-sectional, community-based study conducted among 4763 Iranian adults, depression and anxiety were assessed with Hospital Anxiety and Depression Scale (HADS) and stress with General Health Questionnaire (GHQ). The loglinear analysis was applied to investigate their comorbidities. Based on selected models with pair-comorbidity of anxiety with stress, depression with stress, and anxiety with depression, the results showed the odds of comorbidity between anxiety and depression (odds ratio (OR) =12.29, 95%CI: 9.58-15.80), depression and stress (OR = 7.80, 95%CI: 6.55-10.18), and stress and anxiety (OR = 4.62, 95%CI: 3.71-5.75). Also, ORs of pair-comorbidities were the same, except between stress and anxiety for...
BackgroundDespite the large evidence on the association between obesity and psychological disorde... more BackgroundDespite the large evidence on the association between obesity and psychological disorders, studies investigating new anthropometric indices in relation to mental health are limited. We aimed to explore the association between A Body Shape Index (ABSI) and Body Roundness Index (BRI) and common psychological disorders (anxiety, depression, and psychological distress) among Iranian adults.MethodsIn this cross-sectional investigation, anthropometric measures of 3213 Iranian adults were gathered using a validated self-reported questionnaire. ABSI and BRI values of participants were calculated through pre-defined formulas. General Health Questionnaire (GHQ) and Hospital Anxiety and Depression Scale (HADS) validated for Iranians were used to assess psychological distress, anxiety, and depression.ResultsMean age of participants was 36.6 ± 7.73, and 62.8% of them were women. ABSI and BRI were higher in subjects with anxiety and psychological distress. Also, depressed participants h...
Background: Previous observational studies suggested a relationship between dietary fiber consump... more Background: Previous observational studies suggested a relationship between dietary fiber consumption and mental health, but the findings were conflicting. We evaluated the link between dietary fiber intake and prevalence of depression, anxiety, and psychological distress among a large population of Iranian adults.Methods: A cross-sectional study among 3,362 Iranian adults working in 50 health centers was done. Data of dietary intakes were collected through a validated semiquantitative dish-based 106-item food frequency questionnaire (FFQ). Anxiety, depression, and psychological distress were defined based on the Iranian validated version of Hospital Anxiety and Depression Scale (HADS) and General Health Questionnaire (GHQ).Results: After adjustment for potential confounders, participants in the top quartile of total dietary fiber intake had a 33% and 29% lower risk of anxiety and high psychological distress [odds ratio (OR): 0.67; 95% CI: 0.48, 0.95 and OR: 0.71; 95% CI: 0.53, 0.94...
Background: Functional dyspepsia (FD) is defined as the presence of dyspeptic symptoms in the abs... more Background: Functional dyspepsia (FD) is defined as the presence of dyspeptic symptoms in the absence of an organic cause that readily explains them. Life stressors, individuals’ perceptions, their coping responses, and social supports are linked and can affect the well-being of individuals. The aim of the current study was to assess the relationship between FD and life stressors, coping strategies, and social support. Methods: In a cross-sectional study conducted in Isfahan Province, Iran, in 2013, the employees of Isfahan University of Medical Sciences, Isfahan, were evaluated. Symptoms of FD were measured using the modified ROME III questionnaire. The Stressful Life Event (SLE) Questionnaire, modified COPE scale, and Multidimensional Scale of Perceived Social Support (MSPSS) were used for assessing life stressors, coping strategies, and social support. Logistic regression analysis was applied to assess the crude and adjusted effects of each variable on FD. Results: About 55.8% of...
Background: The overlap of functional gastrointestinal disorders (FGIDs) has been reported in lit... more Background: The overlap of functional gastrointestinal disorders (FGIDs) has been reported in literature. Hence, this study aimed to examine psychological comorbidity with the number of FGIDs.Methods: A total of 4763 individuals in 20 cities across Isfahan Province, Iran, were selected through cluster random sampling. The Rome III questionnaire in its complete form was used to investigate gastrointestinal symptoms. The other data collection tools consisted of the Stressful Life Events (SLE) Questionnaire, and Hospital Anxiety and Depression Scale (HADS). To analyze the data, t-test, chi-square test, and logistic regression analyses were used.Results: The results of logistic regression analysis showed that the number of functional gastrointestinal disorders was the risk factor for stress level, anxiety, and depression and increased the odds ratio (OR) of these disturbances.Conclusion: Increase in the number of functional gastrointestinal disorders was associated with more psychologic...
Background: Treating inflammatory bowel disease (IBD) with antidepressants might be of utility to... more Background: Treating inflammatory bowel disease (IBD) with antidepressants might be of utility to improve patient’s condition. The aim of this study was to assess the efficacy of Duloxetine on depression, anxiety, severity of symptoms, and quality of life (QOL) in IBD patients. Materials and Methods: In a randomized, double-blind, controlled clinical trial on 2013-2014, in Alzahra Hospital (Isfahan, Iran), 44 IBD patients were chosen to receive either duloxetine (60 mg/day) or placebo. They were treated in a 12 weeks program, and all of the participants also received mesalazine, 2-4 g daily. We assessed anxiety and depression with Hospital Anxiety and Depression Scale, the severity of symptoms with Lichtiger Colitis Activity Index and QOL with World Health Organization Quality of Life Instruments, before and just after the treatment. The data were analyzed using Paired sample t -test and ANCOVA. Results: In 35 subjects who completed the study, the mean (standard error [SE]) scores ...
BACKGROUND Growth of cardiovascular disease (CVD), variation in provision of medical services, ri... more BACKGROUND Growth of cardiovascular disease (CVD), variation in provision of medical services, rising costs, and increasing information availability through the media are making patients more actively involved in decision-making process of their treatment. The aim of this study was to better understand the components of patient competence in the context of coronary artery disease (CAD) and to further evaluate their relations with medical, demographic, and psychosocial characteristics. METHODS In this cross-sectional study, 148 patients with at least one year diagnosis of acute coronary syndrome (ACS) were enrolled in the study from April to June 2014. Data on demographic characteristics, depression, anxiety, quality of life (QOL), social support, and drug adherence were collected from participants. Pearson correlation, one way analysis of variance (ANOVA), and multiple linear regression tests were performed for analyzing data. RESULTS The mean age of patients was 53.63 ± 5.15. Of th...
Background: The description of demographic features and associated risk factors provides a perspe... more Background: The description of demographic features and associated risk factors provides a perspective for the development of health and prevention policies for psychological screening or referrals. Thus, updated data on epidemiologic profile of depression and anxiety in the society are necessary. This study aims to describe the psychological profile of a general population in central Iran. Methods: This community-based, cross-sectional survey was performed as part of the SEPAHAN project (Study on the Epidemiology of Psychological‐Alimentary Health and Nutrition). The participants were working in 50 different centers across Isfahan Province, Iran. The data on 4628 adults who had completed demographic questionnaires and psychological questionnaires for depression and anxiety, coping styles, and stressful life events were included in the analysis. The data collection tools were the Demographic information questionnaire, Hospital Anxiety and Depression Scale (HADS), Coping Strategies ...
Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder associa... more Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder associated with adverse mental status, impaired health-related quality of life (QOL), and high medical expenses. So, the impact of psychological factors on treatment-seeking behaviors in patients with IBS is not clearly defined. The aim of our study was to investigate the potential relationship between psychological factors and treatment-seeking behavior in patients with IBS. Methods: This cross-sectional study was a part of the SEPAHAN research project and was conducted on 4763 non-academic staff of 50 different academic centers in Isfahan Province, Iran. From among the study population, 1024 individuals with irritable bowel syndrome (IBS) were evaluated. This process was repeated 15 days and a week before the distribution of the questionnaires. The demographic questionnaire, Rome III questionnaire, Hospital Anxiety and Depression Scale (HADS), General Health Questionnaire-12 (GHQ-12), and tre...
Journal of Mazandaran University of Medical Sciences, 2016
Background and purpose: In recent decades psychosomatic disorders have emerged that complexity of... more Background and purpose: In recent decades psychosomatic disorders have emerged that complexity of their diagnosis impose large economic burdens on patients. The aim of this study was to identify and classify the profiles of psychosomatic disorders and their relationship with psychological problems (mental distress, anxiety, and depression) in an Iranian adult population. Materials and methods: A cross-sectional study was performed in 4763 individuals participating in a research project called SEPAHAN. Psychosomatic symptoms and psychological problems were studied using the Patient Health Questionnaire (PHQ-15) and 47 questions psychosomatic, Lacourt Questionnaire General Health Questionnaire (GHQ-12) and hospital anxiety and depression Scale (HADS). Results: Four categories of psychosomatic disorders including mental, gastrointestinal, respiratory, and general symptoms were extracted from psychosomatic symptoms that explained 42.02% of the total variance. Similar to that of the stud...
Background: Personality can be defined as the dynamic arrangement of psycho-physical systems. Thi... more Background: Personality can be defined as the dynamic arrangement of psycho-physical systems. This study was conducted with aim to assess the prevalence of personality traits and their relation with psychological factors in the general population. Methods: The present research was designed as a cross-sectional study. We extracted our data from the framework of the Study on the Epidemiology of Psychological, Alimentary Health, and Nutrition (SEPAHAN), in 2013. Participants (4763 adults) were selected from among healthy people in 20 counties across Isfahan Province, Iran, through convenience sampling. Personality traits and psychological factors including depression, anxiety, and psychological distress were assessed using the NEO Five ‐Factor Inventory (NEO-FFI), Hospital Anxiety and Depression Scale (HADS), and General Health Questionnaire (GHQ). Binary logistic regression analysis was used to ;nd the association among the personality traits an d psychological variables. Odds ratios ...
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